<div class="layuimini-container">
    <form id="app-form" class="layui-form layuimini-form">
        
        <div class="layui-form-item">
            <label class="layui-form-label">充值用户ID</label>
            <div class="layui-input-block">
                <select name="uid" >
                    <option value=''></option>
                    {foreach $getUserList as $k=>$v}
                    <option value='{$k}' >{$v}</option>
                    {/foreach}
                </select>
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">订单号</label>
            <div class="layui-input-block">
                <input type="text" name="order_id" class="layui-input"  placeholder="请输入订单号" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">充值金额</label>
            <div class="layui-input-block">
                <input type="text" name="price" class="layui-input"  placeholder="请输入充值金额" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">购买赠送金额</label>
            <div class="layui-input-block">
                <input type="text" name="give_price" class="layui-input" lay-verify="required" placeholder="请输入购买赠送金额" value="0.00">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">充值类型</label>
            <div class="layui-input-block">
                {foreach $getRechargeTypeList as $k=>$v}
                <input type="radio" name="recharge_type" value="{$k}" title="{$v}" {in name="k" value=""}checked=""{/in}>
                {/foreach}
            </div>
        </div>

       <div class="layui-form-item">
            <label class="layui-form-label">是否充值</label>
            <div class="layui-input-block">
         <input type="hidden" name="paid" value="0" id="paid">
         <input type="checkbox" lay-skin="switch" lay-text="已充值|未充值" lay-filter="paid" {if 0 == "1"}checked{/if}>
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">充值支付时间</label>
            <div class="layui-input-block">
                <input type="text" name="pay_time" data-date="" data-date-type="datetime" class="layui-input"  placeholder="请输入充值支付时间" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">充值时间</label>
            <div class="layui-input-block">
                <input type="text" name="add_time" data-date="" data-date-type="datetime" class="layui-input"  placeholder="请输入充值时间" value="">
            </div>
        </div>
        <!--<div class="layui-form-item">-->
            <!--<label class="layui-form-label">退款金额</label>-->
            <!--<div class="layui-input-block">-->
                <!--<input type="text" name="refund_price" class="layui-input"  placeholder="请输入退款金额" value="0.00">-->
            <!--</div>-->
        <!--</div>-->
        <div class="hr-line"></div>
        <div class="layui-form-item text-center">
            <button type="submit" class="layui-btn layui-btn-normal layui-btn-sm" lay-submit>确认</button>
            <button type="reset" class="layui-btn layui-btn-primary layui-btn-sm">重置</button>
        </div>

    </form>
</div>